Healthcare Provider Details

I. General information

NPI: 1992052658
Provider Name (Legal Business Name): SWAPNIL KHURANA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2012
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4546 EL CAMINO REAL STE B7
LOS ALTOS CA
94022-1069
US

IV. Provider business mailing address

4546 EL CAMINO REAL STE B7
LOS ALTOS CA
94022-1069
US

V. Phone/Fax

Practice location:
  • Phone: 866-362-4246
  • Fax: 650-260-6030
Mailing address:
  • Phone: 866-362-4246
  • Fax: 650-260-6030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberC193025
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35129305
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberC193025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: